颈项肌肌力训练联合综合物理因子在颈椎病患者康复治疗中的效果

Effect of cervical muscle strength training combined with comprehensive physical factors on rehabilitation of patients with cervical spondylosis

目的探讨颈项肌肌力训练联合综合物理因子在颈椎病患者康复治疗中的效果。方法选取2018年1月至2019年12月中铁十九局集团有限公司职工中心医院收治的颈椎病患者80例为研究对象,以随机数字表将患者分为对照组和研究组;对照组采用综合物理因子疗法进行康复治疗,研究组则在此基础上联合颈项肌肌力训练;对两组治疗效果、症状改善情况、颈曲值变化进行对比,并随访1年观察患者复发情况。结果治疗后临床效果评估,研究组总有效率(87.50%)较对照组(67.50%)高,同时颈椎病临床评价量表(CASCS)各项评分亦高于对照组(P<0.05);治疗后研究组曲度值大于对照组,而1年随访复发率(5.00%)则低于对照组(20.00%)(P<0.05)。结论在综合物理因子治疗颈椎病时,辅以颈项肌肌力训练,有助于提升临床康复治疗效果,并且对改善患者颈椎功能和远期效果显著。

Objective To explore the effect of cervical muscle strength training combined with comprehensive physical factors on rehabilitation of patients with cervical spondylosis.Methods Eighty patients with cervical spondylosis treated in the Staff Center Hospital of China Railway 19 Bureau Group Co,Ltd from January 2018 to December 2019 were selected as the research subjects,and the patients were divided into control group and research group according to random number table.The control group was treated with comprehensive physical factor therapy,while the research group was combined with cervical muscle strength training on this basis.The treatment effect,symptom improvement and cervical curvature value of the two groups were compared,and the recurrence of the patients was observed and followed up for 1 year.Results The total effective rate of the research group(87.50%)was higher than that of the control group(67.50%),and the scores of CASCS in the research group were also higher than those in the control group(P<0.05).After treatment,the curve value of the research group was higher than that of the control group,while the recurrence rate of 1-year follow-up(5.00%)was lower than that of the control group(20.00%)(P<0.05).Conclusion In the comprehensive physical factor treatment of cervical spondylosis,accompanied by cervical muscle strength training,is helpful to improve the clinical rehabilitation effect,and to improve the patient's cervical spine function and the long-term effect is remarkable.